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Home Perspectives

My Long-Term Relationships with Migraine and Literature

A narrative of our time together

Kathleen J. O'Shea by Kathleen J. O'Shea
May 10, 2024
in Perspectives
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My Long-Term Relationships with Migraine and Literature; A Narrative of Our Time Together

My deep relationships with literature and migraine disease joined me at nearly the same time, though I met migraine a bit about a year and a half earlier—when I was 14. My first attack frightened me and my family, as we’d had no history of it, didn’t know what to do with the searing pain, the nausea and vomiting, and the lack of any obvious path for treatment.

This was 1978; there were no headache specialists, no migraine support groups, no medications specifically designed to treat this disease. In fact, it wasn’t even known yet to be a disease. Most doctors (as did most people) genuinely thought patients were overreacting to a “bad headache”.

I did have persistent, supportive parents, though, who found a neurologist who would see me. At my first appointment, he asked, with my mom in the room, if I wanted her to leave so “I could tell him anything I might not want to talk about around her.” I was immediately offended since I shared everything with her and knew already didn’t want to share much with him. Over time, I learned to navigate the complexities of healthcare policy and the healthcare system management.

Today, innovations in healthcare have transformed the landscape for migraine patients.  At the time, back only in the late 1970’s, this debilitating disease was thought to be largely psychological. There were not yet CAT scans much less MRI scans available. I went to a chiropractor, was put on some drugs designed for other conditions, and became a zombie largely because of them. By the time I was a sophomore in high school, in 1979, I had to quit my basketball and volleyball teams, the school play, for which I had earned a lead role, and so much more.

However, about this time I developed a passion for literature and began to see its astounding power to help readers connect with universal emotions—joy, sorrow, grief, jealousy, love, hate, and pain.  My general interest in the humanities and the power of art to speak the unspeakable, to beautifully articulate that which I could not, spanned centuries.

I was reading so many of the classic novels and rich poetry largely because of one influential fixture in my life, my teacher, Dr. Jim Seibel, who mentored me in this new-found love and direction, and remains today, the primary reason I found literature– or it found me. Eventually, I’d go on to finish graduate school and have for 36 years shared this passion with my students in hopes of igniting the spark, as he had done for me. The intersection of my journey with literature and my struggle with migraines epitomizes the profound impact of compassionate healthcare policy and the importance of comprehensive healthcare system management.

I hope I can help others realize that literature helps to show us we are not alone, that our pain, for instance with migraine, really has been felt and experienced by many others before and now around us, sometimes by celebrated authors, poets, essayists, and even playwrights.

My migraine and literature narrative merged five years ago most closely when I was in a month-long intractable migraine, and my exceptional headache specialist, Dr. Joseph Mann had recently retired, leaving me not only in terrible pain but lonely and helpless with where to turn. It was then I did what I always encourage my students to do when they are going through any crisis in their lives; I turned to literature.

I returned to a piece that I first read in graduate school, Joan Didion’s “In Bed,” an essay which hit home so closely as she expresses her experience of living with migraine that I sobbed upon first reading it. Out of my own interest, I then started looking for what other famous authors had suffered from or do cope with migraine disease. Eventually, this journey, in and of itself, became a passion, and it was only somewhere en route that I discovered others might well benefit from reading a collection of the pieces I had found. Three years later So Much More than a Headache: Understanding Migraine through Literature was published by Kent State University Press.

My hope is that those suffering with this disease, those who love and care for someone who does, and medical professionals can all benefit from reading poetry, fiction, essays, and even a play from great authors who have either suffered with migraine or who create characters/personas that do. Literature teaches us empathy, and we can all benefit from more of that.

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Kathleen J. O'Shea

Kathleen J. O'Shea

Kathleen J. O’Shea is a professor of English and humanities at Monroe Community College in Rochester, NY and a 43-year sufferer of migraine. She has been published in The Greenwood Encyclopedia of World Popular Culture and Opera Magazine and is a regular blogger on Migraine with Psychology Today.

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Most employers are unknowingly steering their health plans toward higher costs and reduced control — until they understand how fiduciary missteps and anti-competitive contracts bleed their budgets dry. Katie Talento, a recognized health policy leader, reveals how shifting the network paradigm can save millions by emphasizing independent providers, direct contracting, and innovative tiering models.

Grounded in real-world case studies like Harris Rosen’s community-driven initiative, this episode dives deep into practical strategies to realign incentives—focusing on primary care, specialty care, and transparent vendor relationships. You'll discover how traditional carrier networks are often Trojan horses, locking employers into costly, opaque arrangements that undermine fiduciary duties. Katie breaks down simple yet powerful reforms: owning your data, eliminating conflicts of interest, and outlawing anti-competitive contract clauses.

We explore how a post-network framework—where patients are free to choose providers without restrictive network barriers—can massively reduce costs and improve health outcomes. You'll learn why independent, locally owned providers are vital to rebuilding trust, reducing unnecessary procedures, and reinvesting savings into the community. This conversation offers clarity on the unseen legal landmines employers face and actionable ways to craft health plans built on transparency, independence, and aligned incentives.

Perfect for HR pros, benefits advisors, physicians, and employer leaders committed to transforming healthcare from the ground up. If you’re tired of broken healthcare models draining your budget and frustrating your staff, this episode will empower you to take control by understanding and reshaping the very foundations of employer-sponsored health. Discover the blueprint for smarter, fairer, and more sustainable benefits.

Visit katytalento.com or allbetter.health to connect directly and explore how these innovations can work for your organization. Your path toward a healthier, more cost-effective future starts here.

Chapters

00:00 Introduction to Employer-Sponsored Health Plans
02:50 Understanding ERISA and Fiduciary Responsibilities
06:08 The Misalignment of Clinical and Financial Interests
08:54 Enforcement and Legal Implications for Employers
11:49 Redefining Networks: The Post-Network Framework
25:34 Navigating Healthcare Contracts and Cash Payments
27:31 Understanding Employer Health Plan Structures
28:04 The Role of Benefits Advisors in Health Plans
30:45 Governance and Data Ownership in Health Plans
37:05 Case Study: The Rosen Hotels' Health Model
41:33 Incentivizing Healthy Choices in Healthcare
47:22 Empowering Primary Care and Independent Providers
The Hidden Costs Employers Don’t See in Traditional Health Plans
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Policy Shift in Peptide Regulation

Clinical Reads

GLP-1 Drugs Have Moved Past Weight Loss. Medicine Has Not Fully Caught Up.

Glucagon-Like Peptide–Based Therapies and Longevity: Clinical Implications from Emerging Evidence

by Daily Remedy
March 1, 2026
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Glucagon-like peptide–based therapies are increasingly used for weight management and glycemic control, but their potential impact on long-term survival remains uncertain. The clinical question addressed in this report is whether treatment with glucagon-like peptide receptor agonists is associated with reductions in all-cause mortality and age-related morbidity beyond their established metabolic effects. This question matters because these agents are now prescribed across broad patient populations, including individuals without diabetes, and long-term exposure may influence cardiovascular, oncologic, and neurodegenerative outcomes. Understanding whether...

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